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BEHAVIOR CHANGE THERAPEUTICS, INC

Company Details

Entity Name: BEHAVIOR CHANGE THERAPEUTICS, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Dec 2022 (2 years ago)
Document Number: P22000090580
FEI/EIN Number APPLIED FOR
Address: 3401 NW 82 AVE, 105E, DORAL, FL, 33122
Mail Address: 3401 NW 82 AVE, 105E, DORAL, FL, 33122
ZIP code: 33122
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750093480 2022-12-13 2022-12-14 3401 NW 82ND AVE STE 105E, DORAL, FL, 331221052, US 3401 NW 82ND AVE STE 105E, DORAL, FL, 331221052, US

Contacts

Phone +1 786-620-0830

Authorized person

Name MAYRELIS DELGADO
Role OWNER
Phone 7866200830

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
DELGADO MAYRELIS Agent 3401 NW 82 AVE, DORAL, FL, 33122

President

Name Role Address
JEREZ MORALES NADIENKA L President 3401 NW 82 AVE STE 105E, DORAL, FL, 33122

Vice President

Name Role Address
DELGADO MAYRELIS Vice President 3401 NW 82 AVE STE 105E, DORAL, FL, 33122

Documents

Name Date
ANNUAL REPORT 2024-02-11
ANNUAL REPORT 2023-02-15
Domestic Profit 2022-12-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State